| NPI | 1457393985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MILLER President 630-420-0308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.001618) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2019-04-27 |